TY - JOUR PY - 2022// TI - The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries JO - Ulusal travma ve acil cerrahi dergisi A1 - Bilge, Onur A1 - Kekeç, Ahmet Fevzi A1 - Atılgan, Numan A1 - Yaka, Haluk A1 - Dundar, Zerrin Defne A1 - Karagüven, Doğaç A1 - Doral, Mahmut Nedim SP - 1500 EP - 1507 VL - 28 IS - 10 N2 - BACKGROUND: The epidemiology of pediatric fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of pediatric fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety.

METHODS: A total of 3261 pediatric patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective and epidemiological descriptive study. The patients were grouped according to their ages as follows; <2, 2-5.9, 6-9.9, and 10-17.9. The fractures were examined according to the AO/OTA classification.

RESULTS: A total of 3396 fractures were present in 3261 patients. The mean age of the patients was 9.8±4.6 (1-17). The number of patients according to the age groups was as follows; 28 (0.008%), 735 (22.53%), 863 (26.47%), and 1635 (50.99%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 23 (radius/ulna distal 22.9%), 13 (humerus distal, 13.3%), and 7 (hand/carpal, 12%). About 68.8% and 31.2% of the patients were treated non-surgically and surgically, respectively. Overall mortality rate was 0.1%.

CONCLUSION: To the best of our knowledge, this study represents the first analysis of pediatric fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multicentric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.

Language: en

LA - en SN - 1306-696X UR - http://dx.doi.org/10.14744/tjtes.2021.24469 ID - ref1 ER -